The following Order of the Court was delivered: Baba Mungipa Education Trust, sought to establish a Medical College in Tripura. According to the trust, there was no Medical College in Tripura and the Trust tried to meet a long felt need in that State. It applied to the Central Government for permission to set up the College as required by the Indian Medical Council Act, on 1.11.1994. No action was taken on this application. Aggrieved by the inaction of the Central Government, the trust took various legal proceedings Ultimately by an order dated 21.7.1995, this Court directed the Central Government to take expeditious steps for processing of the application and disposing it of in accordance with law in consultation with the Medical Council of India.
From time to time, this Court has given other directions. The trust was successful in its effort to get a provisional affiliation of the College from the University. It has been stated on behalf of the Trust that they had set up the College and admitted students to the first year class. But after some time, because of the inaction by the University and the Central Government, classes had to be suspended. It is not disputed that no classes have been held for several years now.
The case of the Trust is that there is no reason not to grant recognition to this college, Some deficiencies in the facilities to be provided by the College have been noted by the Medical Council of India. Those defects will be cured once the College gets recognition. If the College is not recognised by the Medical Council, the students who have already been admitted will be seriously prejudiced. It has been prayed on behalf of the students also that the Medical Council of India should be directed to grant recognition to the College set up the Trust.
An inspection was carried out by the Medical Council on the direction given by this Court on 28th July, 1997. A copy of the Inspection Report has been filed in this Court. It appears from the Report that the said inspection was carried out by a team of doctors deputed by the Medical Council of India on 23rd and 24th September, 1997.
The Report noted various deficiencies in the College, It also noted that the College does not have a proper building and has not yet acquired the land to construct the building. On behalf of the College authorities, it has been stated that the land is expected to be given by the Government very soon and construction will start immediately. We are of the view that until and unless the defects pointed out by the Medical council are removed, there cannot be any question of granting recognition to the College. The College authorities will be entitled to cure the defects pointed out in the Report. After curing the defects, they may apply o the Medical Council for a further inspection.
It is for the Medical Council of India to decide whether the College had all the facilities for imparting proper medical education. But on the facts brought out in the Report, no direction can be given to the Medical Council of India or the Union of India to take any step for granting recognition to the College. Admission of first year students to the College even before grant of the recognition by the Medical Council of India or affiliation by the University was a very irresponsible step. The College is directed not to admit any student till it obtains proper recognition I.A. No. 5 is disposed of as above.
Sir Sunderlal Hospital
There was a simultaneous development of Sir Sunderlal Hospital and it grew from a 96 bed hospital in 1924 to a 927 bed hospital in 1978. The hospital is well equipped with state-of-the-art modern facilities under the care of a dedicated competent faculty overall. The SS Hospital is now a premier tertiary care referral center catering to the medical needs of an approximate population of 15 crores of the states of Uttar Pradesh, Bihar, Jharkhand, Madhya Pardesh, Chattisgarh, and neighboring countries of Nepal and Bangladesh. It provides expert facilities to patients in this region of our country.
Course Offered
The courses offered by Faculty of Medicine include MBBS (59 students), MD/MS (87 students in 22 subjects), DM/MCh (22 students in 11 subjects), MSc in Health Statistics (10 students) and PhD in all the subjects. The Faculty of Ayurveda imparts courses of BAMS (50 students), MD/MSAy. (25 students) and PhD in all Ayurvedic subjects. The Faculty of Dental Sciences offers MDS in Prosthodontics and Operative Dentistry (one student each).
Staff Strength and Accomodation
There are more than 300 teaching faculty and 400 technical staff, who form the backbone of the Institute. They in addition to their teaching duties work extra hours to provide medical care to patients. The Faculty of Medicine has 60 Professors, 90 Readers, 113 Lecturers, 23 Service Senior Residents, 66(22x3) DM/MCh Senior Residents and 261(87x3) MD/MS Junior Residents. The Faculty of Ayurveda has 13 Professors, 20 Readers, 23 Lecturers and 75(25x3) Senior Residents.
To accommodate the staff and the students there are academic staff quarters and 9 modern hostels for boys, girls and also married postgraduates in the University campus. The hostels of Faculty of Medicine are: Ruiya: 70 rooms for 140 students, Dhanwantari: 204 rooms for 204 students, New Doctors Hostel: 99 rooms for 99 postgraduates, Old Doctors Hostel: 64 rooms for 64 post-graduates, Married Doctors Hostel: 16 quarters for 16 postgraduate couples, Kasturba girls Hostel: 100 rooms for 100 female students. The Faculty of Ayurveda has Nagarjunna Hostel: 78 rooms for 156 students, Sukanya Girls Hostel: 15 rooms for 30 students and Aatrya Hostel: 50 rooms for 100 students.
Teaching and Research
In a national survey published in the British Medical Journal (7:414, 1991) and the National Medical Journal of India, the Institute of Medical Sciences was rated as the third best amongst 128 Medical Colleges in the country in terms of research output and publications in International medical journals of the time. This high level of competence has been consistent over the last 15 years as corroborated by several national surveys, till date.
The Institute has research projects supported by the World Health Organization (WHO), National Institutes of Health, USA, Rockefeller Foundation (USA), Department of Sciences & Technology (DST), Indian Council of Medical Research (ICMR), Council for Scientific and Industrial Research (CSIR), Department of Biotechnology (DBT), University Grants Commission (UGC), Council for Sciences & Technology (CST), Uttar Pradesh Government, different pharmaceutical houses and other intramural research grants.
Recognitions and Awards
The teachers of Institute of Medical Sciences have been honored for their significant contributions with numerous national and international awards. Some of the awards received by the faculty over the years include Padma Shri, Professor B.C. Roy Awards, Ranbaxy Research Award, Glaxo Oration, Dr. Sharma Singh Oration, Colonel Pandalai Oration, Shakuntala Amir Chand Prize and Oration of the National Academy of Medical Sciences, Hari Om Ashram Awards, INSA Awards, Boyscast Fellowship of DST, Commonwealth Fellowships, Heinz Fellowships and Fellowships of the UICC and many more.
A number of teachers have been conferred the coveted Fellowship of National Academy (FNA), Fellowship (FAMS) and Membership (MAMS) of National Academy of Medical Sciences and International Academy of Medical Sciences (FIMSA). Many faculties of Institute are members of Advisory Committees of research bodies such as WHO, ICMR, DST and DBT, Govt. of India Expert Committees, Institute Body of All India Institute of Medical Sciences (AIIMS) and Chairman Academic and Selection Committee of AIIMS.
They have served as Presidents or Secretaries or Members of Governing Councils of their respective National or Regional bodies such as the Indian Association of Surgical Oncology, Indian Association of Pediatric Surgeons, Indian Association of Plastic Surgeons, Indian society of Anesthesiology, Urological Society of India, Endocrine Society of India, National Neonatology Forum, Association of Surgeons of India, Indian Society of Hematology and Transfusion Medicine and many more. One of the members has also received the honor of being the President of World Federation of Surgical Oncology Societies (WFSOS). The bright faculties of the institute have penned down many books and are editors of reputed National and International scientific journals.
Infrastructure
The academic infrastructure of the Institute of Medical Sciences has been augmented with the construction of KN Uduppa multipurpose modern conference auditorium just next to the Institute, to meet a long pending demand of providing an ambient and inspiring space for frequent national and international scientific congresses, conferences, workshops, seminars, public extension lectures and group discussions.
The infrastructure of the SS Hospital is developing at a fast pace- the existing blood bank has been upgraded and modernized to cater for blood requirements by the hospital patients 24 hours a day, provide blood component therapy to patients of hematological conditions and cancer. This is in prelude to ultimate establishment of bone marrow transplant and stem cell therapy. The initial bed strength of 927 has been upgraded to 1200 at present to provide the ever increasing needs and demands by various medical units.
There is plan to increase this number to 1600 in near future. The Accident and Emergency Services of SS Hospital have been upgraded to now accommodate 40 patients (from 10 patients in 2000) in a fully air-conditioned set up with in-house operation theatre and X-ray facilities. This important wing of the hospital is fully integrated with 16 bedded ICU for mutual support. An Oncology wing has been created with the generous grant of the Ministry of Health and Family Welfare for multidisciplinary treatment of cancer.
Growth and Development
The Institute draws monetary support for growth and development from various sources. A modest grant (of 18 lacs) was received from the Japanese government (JICA) in 1990's and was fully utilized to upgrade the operation theaters and basic investigation facilities of Sir Sunderlal Hospital. A grant of 2.5 Crores was received under COSIST program in 1990 to develop tumor immunology and hybridization laboratory.
This grant was also fully utilized and helped to create division of Surgical Oncology and ICMR immunology laboratory of Pathology department. Several new equipments have been purchased with the help of 16 crores grant from the HRD Ministry in the year 2006 and are now operational in SS Hospital such as OR-I in Pediatric Surgery, Navigation equipment in Neurosurgery, C- arms in departments of Anesthesia, General Surgery, Orthopedics, combined lithotripsy and C-arm machine for Urology. A new Co-60 machine is now operational in the department of Radiotherapy and a new MRI, head CT, full body scanner in the Department of Radiology.
The Department of Surgical Oncology received a grant of 2.5 crores from the Ministry of Health and Family Welfare for purchase of OT equipments, Laser, C-arm, Ligasure, Ultrasonic, Mammography machine, site-rite for difficult venesections and panendoscopes. A 120 KV ultra modern Transmission Electron Microscope of FEI has been installed in March 2007 in the Department of Anatomy (sponsored by DBT-UGC) the services of which are available for the entire University. This has facilitated immensely in scientific research and has lead to a publication of several papers in high impact journals such as the work showing the effect of silver nanoparticles in killing dreaded gram-negative bacteria by the Departments of Biochemistry and Anatomy.
Rapid upgradation and development is continuing in SS Hospital and the Institute of Medical Sciences even as this report is being written in October 2007, with the initiation of establishment of 1.5 Tesla MRI, 64 Slice CT, and a 24 hour comprehensive in-house Drug Shop to cater for the needs of its patients at affordable price. A grant of 120 crores has been recently received under the "Pradhan Mantri Swasthya Suraksha Yojana (PMSSY)". The thrust of this grant is to construct a fully equipped modern 315 bed 'Trauma Center at the cost of 53 cores with multidisciplinary departments of Orthopedics, Neurosurgery, CTVS, Cardiology, Burn Unit, Radiology and Blood Bank. This will go a long way in saving lives of the unfortunate trauma victims in the region by an efficient and coordinated management.
Seats
In addition the medical education curriculum will be expanded with an increase in the number of MBBS seats from 59 to 100 and introduction of the BDS course for 50 students each year, both are likely to come into effect from 2008. The MDS seats will also be augmented from 2 to 6, MD/MS seats from 87 to 134 and DM/MCh seats from 11:11 to 22:11 (Regular:Sponsored).
A BSc course in Nursing will be started as well in the near future. New departments proposed to come up soon include Critical Care Medicine, Medical Oncology, Nuclear Medicine, Transfusion Medicine, Laboratory Medicine, Biostatistics, Wound Management Centre, Prenatal diagnosis & Genetic Counseling Centre, Division of Geriatric Medicine and College of Nursing.
The growth of Institute of Medical Sciences so far has been balanced in all its aspects and constituents of Faculty of Medicine, Faculty of Ayurveda, Faculty of Dentistry and College of Nursing through the help of an extremely competent and dedicated faculty. In actual terms, after a long history of establishment, the Institute of Medical Sciences has now achieved a momentum of growth carefully nurtured by the visionary leadership to discharge its duties for efficient patient care, research and training. This has given it a national leadership role in patient care and medical education.
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